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v3.25.3

Organization and Summary of Accounting Policies (Tables) | 9 Months Ended
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Sep. 30, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract] |
Schedule of Revenues | The following table presents a summary of revenues by service type as a percentage of total revenues:
|  | Three Months Ended September 30, |  |  |  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  |  |  | 2025 |  | 2024
Patient service revenues |  | 97.2 | % |  | 97.7 | % |  |  |  | 97.4 | % |  | 98.1 | %
Other service revenues |  | 2.8 | % |  | 2.3 | % |  |  |  | 2.6 | % |  | 1.9 | %
Total revenues |  | 100.0 | % |  | 100.0 | % |  |  |  | 100.0 | % |  | 100.0 | %
The following table sets forth patient service revenues by type of payor and as a percentage of total patient service revenues for the Company's consolidated surgical facilities (dollars in millions):
|  | Three Months Ended September 30,
|  | 2025 |  | 2024 |  |
|  | Amount |  | % |  | Amount |  | % |  |  |  |
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 404.1 |  |  | 50.6 | % |  | $ | 393.2 |  |  | 52.2 | % |  |  |  |
Government |  | 347.0 |  |  | 43.5 | % |  | 318.3 |  |  | 42.3 | % |  |  |  |
Self-pay |  | 26.5 |  |  | 3.3 | % |  | 19.7 |  |  | 2.6 | % |  |  |  |
Other (1) |  | 20.9 |  |  | 2.6 | % |  | 22.0 |  |  | 2.9 | % |  |  |  |
Total patient service revenues |  | 798.5 |  |  | 100.0 | % |  | 753.2 |  |  | 100.0 | % |  |  |  |
Other service revenues |  | 23.0 |  |  |  |  | 17.2 |  |  |  |  |  |  |
Total revenues |  | $ | 821.5 |  |  |  |  | $ | 770.4 |  |  |  |  |  |  |
|  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  |
|  | Amount |  | % |  | Amount |  | % |  |  |  |
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 1,226.7 |  |  | 52.0 | % |  | $ | 1,152.2 |  |  | 52.2 | % |  |  |  |
Government |  | 1,011.7 |  |  | 42.8 | % |  | 932.0 |  |  | 42.2 | % |  |  |  |
Self-pay |  | 68.0 |  |  | 2.9 | % |  | 60.2 |  |  | 2.7 | % |  |  |  |
Other (1) |  | 54.7 |  |  | 2.3 | % |  | 62.2 |  |  | 2.9 | % |  |  |  |
Total patient service revenues |  | 2,361.1 |  |  | 100.0 | % |  | 2,206.6 |  |  | 100.0 | % |  |  |  |
Other service revenues |  | 62.6 |  |  |  |  | 43.3 |  |  |  |  |  |  |
Total revenues |  | $ | 2,423.7 |  |  |  |  | $ | 2,249.9 |  |  |  |  |  |  |
(1)Other is comprised of automobile liability, letters of protection and other payor types.
Schedule of Rollforward of Goodwill | A summary of activity related to goodwill for the nine months ended September 30, 2025 is as follows (in millions):
Balance as of December 31, 2024 |  | $ | 5,068.0 |
Acquisitions, including post acquisition adjustments |  | 69.1 |
Disposals |  | (45.5) |
Balance as of September 30, 2025 |  | $ | 5,091.6 |
Schedule of Rollforward of Non-Controlling Interests - Redeemable | A summary of activity related to redeemable non-controlling interests is as follows (in millions):
|  | Nine Months Ended September 30,
|  | 2025 |  | 2024
Balance at beginning of period |  | $ | 438.8 |  |  | $ | 327.4 |
Net income attributable to non-controlling interests—redeemable |  | 15.4 |  |  | 19.2 |
Acquisition and disposal of shares of non-controlling interests, net—redeemable |  | (8.3) |  |  | 121.4 |
Distributions to non-controlling interest —redeemable holders |  | (34.9) |  |  | (31.6) |
Balance at end of period |  | $ | 411.0 |  |  | $ | 436.4 |
Schedule of Carrying Amounts and Fair Values of Long-Term Debt | A summary of the carrying amounts and estimated fair values of the Company's long-term debt follows (in millions):
|  | Carrying Amount |  | Fair Value
|  | September 30, 2025 |  | December 31, 2024 |  | September 30, 2025 |  | December 31, 2024
Senior secured term loan |  | $ | 1,377.8 |  |  | $ | 1,388.1 |  |  | $ | 1,379.5 |  |  | $ | 1,400.2 |
7.250% senior unsecured notes due 2032 |  | $ | 800.0 |  |  | $ | 800.0 |  |  | $ | 820.0 |  |  | $ | 815.0 |

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